Individual provider · Type 1 NPI

Sonja Sample, BA, R-AAC

Counselor · Longview, WA

NPI number 1144184904 Active

Practice location

1340 12th Ave Ste 100
Longview, WA 98632-3820

Fax (844) 612-6673

Mailing address

PO Box 2394
Longview, WA 98632-8455

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG70076244 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144184904

Sonja Sample, BA, R-AAC's National Provider Identifier is 1144184904, issued on Dec 15, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Dec 15, 2025.